ASHLAND, KY – BOYD NURSING AND REHABILITATION

Based on observation, interview, and record review, it was determined the facility failed to ensure pain management was provided to residents who require such services for one (1) of sixteen (16) sampled residents (Resident #207). Resident #207 was admitted to the facility on [DATE] at approximately 8:00 PM, and physician’s orders [REDACTED]. However, there was no documented evidence the resident received any pain medication until 09/24/19 at 8:44 PM, after orders were received for a one (1) time dose of [MEDICATION NAME] 5-325 mg, two (2) tablets. Staff interviews revealed the resident did request the PRN [MEDICATION NAME] pain medication after admission, and an ice pack was used to treat the resident’s pain due to the medication being unavailable. Resident #207 went over twenty-four (24) hours after admission without the ordered [MEDICATION NAME] pain medication, while experiencing pain in the left arm.

In addition, new physician’s orders [REDACTED].#207. Per the Controlled Drug Record, the resident received the last dose of the medication on 09/29/19 at 9:50 AM. However, the facility failed to ensure the medication was re-ordered and a prescription was obtained timely. There was no documented evidence the resident received the medication from 09/29/19 at 9:50 AM, until 09/30/19 at 5:06 PM, which was approximately thirty-one (31) hours later. Interview with Resident #207, revealed he/she was experiencing a high level of pain during the time periods in which the pain medication was unavailable. (Refer to F-655 and F-755)